University of Chicago Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

209014987 Issued in IL

Legal business name

UNIVERSITY OF CHICAGO MEDICAL CENTER

Practice address

5841 S Maryland Ave
Chicago, IL 60637-1447

Phone

(773) 702-1000

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna C Fuller, APNNPI 1902340078

Title

Acute Care Nurse Practitioner

Phone

(505) 450-9185

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Fuller, APN

  • Acute Care Nurse Practitioner
  • Chicago, IL
  • NPI 1902340078
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1275075665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 S STATE ST",
            "address_2": "APT. 4L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053011",
            "telephone_number": "505-450-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACUTE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-450-9185",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "209014987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Chicago Hospitals
• University of Chicago Hospitals
• University of Chicago Hospitals
• University of Chicago Medical Center
• University of Chicago Medical Center
• University of Chicago Medical Center
• University of Chicago Medical Center
• University of Chicago Medical Center
• University of Chicago Medical Center
• University of Chicago Medical Center

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.